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Louisiana rates for HCPCS L6697

Addition To Upper Extremity Prosthesis Below Elbow/Above Elbow Custom

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.80 / $915.90 / $1,300.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.94 / $915.90 / $1,327.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,389.51 / $2,373.77 / $3,336.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.60 / $1,133.45 / $1,133.45
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,111.22 / $1,111.22 / $1,111.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.19 / $811.19 / $1,840.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.92 / $796.43 / $1,090.83